Provider Demographics
NPI:1033463526
Name:JOYNER MCTERNAN, JULIA ELIZABETH (MA)
Entity Type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:JOYNER MCTERNAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 JAMAICA DR
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-3212
Mailing Address - Country:US
Mailing Address - Phone:321-783-3521
Mailing Address - Fax:
Practice Address - Street 1:163 JAMAICA DR
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3212
Practice Address - Country:US
Practice Address - Phone:321-783-3521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6059235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist